Active NPI
Ryan M Thomas, DC, FACO
- Orthopedic Chiropractor
- Gresham, OR
National Provider Identifier
1760429732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 27-3110
- Practice address
- 329 NE Hood Ave
Gresham, OR 97030-7449 - Phone
- (503) 491-0388
- NPI assigned
- May 31, 2006
- Last updated
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 27-3110 | OR | Primary |
| Orthopedic Chiropractor | 111NX0800X | 4394 | CO | |
| Orthopedic Chiropractor | 111NX0800X | 7912009-1202 | UT |
Addresses
Primary practice location
329 NE Hood Ave
Gresham, OR 97030-7449
Mailing address
13203 SE 172ND Ave
Suite 166 Box 280
Happy Valley, OR 97086-8737
Phone (503) 491-0388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202562300 | Other | OR | U.S. DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4394 | CO | MD | Orthopedic Chiropractor |
| 27-3110 | OR | MD | Orthopedic Chiropractor |
| 7912009-1202 | UT | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Chiropractic Clinic | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Chiropractor
- Gresham, OR
- NPI 1184790073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1760429732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13203 SE 172ND AVE",
"address_2": "SUITE 166 BOX 280",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970868737",
"telephone_number": "503-491-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 NE HOOD AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307449",
"telephone_number": "503-491-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RYAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC, FACO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OR",
"license": "27-3110",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CO",
"license": "4394",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "UT",
"license": "7912009-1202",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR",
"identifier": "202562300",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.